HomeMy WebLinkAboutPermit EL09-0127 - FITNESS SHOPFITNESS SHOP
16901 SOUTHCENTERPY
ELO9-0127
Parcel No.: 2623049011
Address: 16901 SOUTHCENTER PY TUKW
Suite No:
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Tenant:
Name: FITNESS SHOP
Address: 16901 SOUTHCENTER PY , TUKWILA WA
Cityilif Tukwila •
Owner:
Name: OCM ESCROW ADMINISTRATION Phone:
Address: 1717 MAIN ST 8TH FL- ESCROW , DALLAS TX
Contact Person:
Name: RICK MARTINEZ Phone: 206 - 396 -6767
Address: 828 POPLAR PLACE S , SEATTLE WA
Contractor:
Name: PACIFIC FIRE AND SECURITY INC Phone: 206 - 957 -0907
Address: 828 POPLAR PL S , SEATTLE WA
Contractor License No: PACIFFS973PU Expiration Date: 10/30/2009
DESCRIPTION OF WORK:
ADD NEW PULL STATION AND EXTERIOR BELL /STROBE TO EXISTING SYSTEM
Value of Electrical: NRES: $400.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
Signature:
doc: EL -4/07
The granting of this permit does not presum
construction or the performance of work.
Print Name: rC1-
ELECTRICAL PERMIT
Fees Collected:
Permit Number: EL09 -0127
Issue Date: 02/17/2009
Permit Expires On: 08/16/2009
National Electrical Code Edition: 2005
$68.00
Date: )`
e authority to violate or cancel the provisions of any other state or local laws regulating
thorized to sign and obtain this electrical permit.
Date:
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
EL09 -0127 Printed; 02 -17 -2009
Parcel No.: 2623049011
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
� r
City of Tukwila
16901 SOUTHCENTER PY TUKW
FITNESS SHOP
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0127
ISSUED
02/17/2009
02/17/2009
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the
building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector.
6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation
of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that
presumes to grant this authority are therefore not valid.
7: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where
approved plans have been issued, revisions to the plans and additional review may be required.
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local
laws regulating construction or the performance of work.
Signature:
Print Name:
doc: Cond -Elec
7
,&;:: n e77,L/ --z_
Date: �- 17 -09
EL09 -0127 Printed: 02 -17 -2009
SITE LOCATION
Site Address:
Tenant Name:
Contact Person:
E -Mail Address:
CITY OF TUKWILL
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://Www.ci.tukwila.wa.us
16901 Southcenter Parkway
Fitness Shop
Property Owners Name: Aedifex
Mailing Address: 2442 NW Market St, Suite 69
CONTACT PERSON - Who do we contact when your permit is ready to he issued
Name: Rick Martinez
Mailing Address: 828 Poplar Place S
E -Mail Address: rickm @pfs.bz
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Pacific Fire & Security, Inc.
Mailing Address: 828 Poplar Place S Seattle WA 98144
Andrea Campbell
andreac @pfs.bz
Contractor Registration Number: PACIFFS973PU
Electrical Permit No. 1 L I - 0 1.Z7
Project No.
Seattle
City
Day Telephone:
Seattle
City
Fax Number:
(For office use onlrl
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
King Co Assessor's Tax No.: - 10 t
Suite Number: Floor:
New Tenant Yes ❑ .. No
WA 98107
State
State
(206) 726 -8160
Zip
(206) 396 -6767
WA 98144
Zip
City State Zip
Day Telephone: (206) 788 -3861
Fax Number: (206) 726 -8160
Expiration Date: 10/30/2009
Valuation of Project (contractor's hid price): $ 400
Scope of Work (please provide detailed information): Low Voltage: Add new pull & exterior bell /strobe. Job# 09 -F029
Will service he altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ® Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alann ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
HMppLaltio Forme- Appheatiom On Line \1 -2009 - Electrical Permit Applicatian.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE:
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ca
RESIDENTIAL REMODEL AND SERVICE CIIANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
❑ Service change with added /altered circuits $78.00
number of added circuits $11.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added /altered without service change $52.00
(6 or more circuits) $7.30 ea
❑ Metcr /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
PERMIT APPLICATION NOTES -
Value of Construction In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY TIIAT I HAVE READ AND EXAMINED TIIIS APPLICATION AND KNOW THE SAME TO BE TRUE. UNDER
PENALTY OF PERJURY BY TIIF LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Andrea Campbell
Mailing Address: 828 Poplar Place S
Date Application Accepted:
H: ApplicationsWorm - Application On Lmell -2009 - Elechical Pennit Application.dac
bh
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
Date: 02/17/2009
Day Telephone: (206) 788 - 3861
Seattle WA 98144
City
State Zip
Date Application Expires: Staff Initials:
Page 2 of 2
Parcel No.: 2623049011 Permit Number: EL09 -0127
Address: 16901 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 02/17/2009
Applicant: FITNESS SHOP Issue Date:
Receipt No.: R09 -00261 Payment Amount: $68.00
Initials: WER Payment Date: 02/17/2009 01:18 PM
User ID: 1655 Balance: $0.00
Payee: PACIFIC FIRE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2478 68.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
RECEIPT
Account Code Current Pmts
000.322.101.00.0 68.00
Total: $68.00
PAYMENT
RECEIVED
doc: Receiot• -06 Printed: 02 -17 -2009
Project: 11 `
C
Type of Inspection: � rOO
Address:
II
Date Called:
Special Inst uctions:
IA
IF A
Date Wanted:
03/45—
c .
p.m.
Requester:
Phone No:
INSPECTION RECORD CI-or Z�
Retain a copy with permit
INSPECTION NO. MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
I X Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
OK 441_
Inspector` ( / Date: 0
0 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Project: !" 1Ta����
/-' c
Type of Inspection:
7/00
Address:
Date Called:
Special Instructions:
Y IA
Date Wanted:
0z /Z
///
a.m.
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PER 4IT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. ❑Corrections required prior to approval.
COMMENTS:
A-ftRo AL-
Receipt No.:
Inspector: �, �, _ / y Date: 021 T7a
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
PType
rw 5 P
of Inspection:
1003,
Address:
Date Called:
Special Instructions:
Date Wanted:
1 �j
2 / � 6
/a.m.
p.m
Requester:
[[
Phone No:
0 I 1/7
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION NO.
M Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
INSPECTION RECORD
Retain a copy with permit
❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
-- - -- - -. _ ®
Name
Role
Effective Date
Expiration Date
PINKSY, ADAM A
AGENT
10/30/2003
MURVICH, STEPHEN E
CHIEF EXECUTIVE OFFICER
10/30/2003
HARDER, JOHN E
CHIEF EXECUTIVE OFFICER
10/30/2003
BAKER, JON T
PRESIDENT
10/30/2003
WITTMAN, JOHN P
SECRETARY
10/30/2003
PINSKY, ADAM A
TREASURER
10/30/2003
Untitled Page
Suite /Apt.
Electrical Contractor
A business licensed by LEtI to contract electrical work within the scope of its specialty.
Electrical Contractors must maintain a surety bond or assignment of savings account.
They also must have a designated Electrical Administrator or Master Electrician who is a
member of the firm or a full -time supervisory employee.
Business and Licensing Information
Name PACIFIC FIRE AND SECURITY
INC
Phone 2069570907 Status ACTIVE
Address 828 POPLAR PL S License No. PACIFFS973PU
License Type ELECTRICAL
CONTRACTOR
City SEATTLE Effective Date 10/30/2003
State WA Expiration Date 10/30/2009
Zip 98144 Suspend Date
County KING Previous License SMEINS *066DB
Business Type Corporation Next License
Parent Associated BAKERJT973LR
Company License
MASTER ELECTRICIAN INFORMATION
License BAKERJT973LR
Name BAKER, JON T
Status ACTIVE
Business Owner Information
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= PACIFFS973PU
•
UBI No. 602335521
Specialty 1 LIMITED ENERGY
Specialty 2 UNUSED
Page 1 of 2
02/17/2009